Modena Holdings, LLC

NPI #1669919890 in Mansfield, Texas

Provider Information

NPI Number: 1669919890
Entity Type: Organization
Organization Name: Modena Holdings, LLC
Primary Specialty: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date: Jan 26, 2017
Last Updated: Jan 26, 2017

Practice Location

Address: 1401 CRESTVIEW LN
City: Mansfield
State: Texas
ZIP Code: 76063-5543
Phone: (817) 477-0942

Authorized Official

Name: MR. ANDRE GEORGES PLASKOTA
Title: PRESIDENT
Phone: (214) 789-0361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	Primary

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